| NPI | 1407182587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEHDI NIKPARVARFARD Medical Director 570-871-4005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: PA MD424252) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2012-06-21 |